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10.1002/art.40479

http://scihub22266oqcxt.onion/10.1002/art.40479
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suck abstract from ncbi


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pmid29513931
      Arthritis+Rheumatol 2018 ; 70 (7 ): 1071-1076
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  • Brief Report: A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Multiple-Dose Study to Evaluate AMG 557 in Patients With Systemic Lupus Erythematosus and Active Lupus Arthritis #MMPMID29513931
  • Cheng LE ; Amoura Z ; Cheah B ; Hiepe F ; Sullivan BA ; Zhou L ; Arnold GE ; Tsuji WH ; Merrill JT ; Chung JB
  • Arthritis Rheumatol 2018[Jul]; 70 (7 ): 1071-1076 PMID29513931 show ga
  • OBJECTIVE: To evaluate the safety and potential efficacy of AMG 557, a fully human antibody directed against the inducible T cell costimulator ligand (ICOSL) in patients with systemic lupus erythematosus (SLE) with arthritis. METHODS: In this phase Ib, randomized, double-blind, placebo-controlled study, patients received AMG 557 210 mg (n = 10) or placebo (n = 10) weekly for 3 weeks, then every other week for 10 additional doses. The corticosteroid dosage was tapered to ?7.5 mg/day by day 85, and immunosuppressants were discontinued by day 29. Primary end points on day 169 were safety, immunogenicity, the Lupus Arthritis Response Index (LARI; defined by a reduction in the tender and swollen joint counts), ?1-letter improvement in the musculoskeletal domain of the British Isles Lupus Assessment Group (BILAG) index, and medication discontinuation. The secondary/exploratory end points were changes in the tender and swollen joint counts, BILAG index scores (musculoskeletal, global), and the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). RESULTS: The incidence of adverse events, most of which were mild, was similar between groups. LARI responses occurred in 3 of 10 patients receiving AMG 557 and 1 of 10 patients receiving placebo (P = 0.58). More patients in the AMG 557 group achieved a ?4-point improvement in the SLEDAI score on day 169 (7 of 10 patients) compared with the placebo group (2 of 10 patients) (P = 0.07). Patients treated with AMG 557 (versus placebo) had greater improvements from baseline in the global BILAG index scores (-36.3% versus -24.7%) and the SLEDAI score (-47.8% versus -10.7%) and in tender (-22.8% versus -13.5%) and swollen (-62.1% versus -7.8%) joint counts on day 169. CONCLUSION: AMG 557 showed safety and potential efficacy, supporting further evaluation of the clinical efficacy of ICOSL blockade in patients with SLE.
  • |Adolescent [MESH]
  • |Adrenal Cortex Hormones/therapeutic use [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Antibodies, Monoclonal, Humanized/*administration & dosage/immunology [MESH]
  • |Arthritis/*drug therapy/immunology/pathology [MESH]
  • |Double-Blind Method [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunosuppressive Agents/therapeutic use [MESH]
  • |Inducible T-Cell Co-Stimulator Ligand/*immunology [MESH]
  • |Joints/drug effects/pathology [MESH]
  • |Lupus Erythematosus, Systemic/*drug therapy/immunology/pathology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Severity of Illness Index [MESH]
  • |Treatment Outcome [MESH]


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